Individual
MOHAMMAD ABDUL SUBHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1739 E BEVERLY AVE, SUITE 201, KINGMAN, AZ 86409-3593
(928) 692-3456
(928) 692-7071
Mailing address
1739 E BEVERLY AVE STE 200, KINGMAN, AZ 86409-3593
(928) 681-8701
(928) 981-8702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24949
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24949
LICENSE
AZ
05
—
371500
—
AZ
Enumeration date
02/07/2006
Last updated
03/07/2023
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